Malaria remains a major public health issue in Burkina Faso and is endemic throughout the country. Eighty percent of the estimated 19 million residents of Burkina Faso live in rural areas, where they are at greater risk for poverty and poorer health than their urban counterparts. In 2014, the proportion of children infected with malaria parasites in rural areas was three times that of children living in urban areas. Malaria prevention and control activities are guided by a national malaria control strategy, which supports the long-term vision of eliminating malaria in Burkina Faso by 2030. The strategy includes support for vector control, seasonal malaria chemoprevention for children under five years of age, intermittent preventive treatment for pregnant women, case management, and behavior change communication.
IRS implementation by PMI was carried out in 2010, 2011, and 2012 in Burkina Faso in the district of Diebougou, a high-transmission area located in the Southern province of Bougouriba. The insecticide used during the 2010-2012 campaigns was carbamate. In 2010 and 2011, IRS covered 33,897 structures, accounting for 98.9 percent coverage, and protecting 118,691 people. In 2012, IRS covered 36,870 structures, achieving 99.30 percent coverage, and protecting 115,638 people.
In 2021, the PMI VectorLink Burkina Faso project will work with the Ministry of Health (MOH), National Malaria Control Program, regions, districts, etc. to spray 171,276 targeted structures and protect 536,983 people in two districts using pirimiphos-methyl (Actellic 300CS), clothianidin (SumiShield) and clothianidin/deltamethrin combination (Fludora Fusion). The project’s primary objective is to reach a minimum coverage of 85 percent of the structures found in each district by implementing high-quality IRS operations.
In addition to spraying, in year four (2021), the project will carry out the following activities:
- Strengthen capacity at the national, regional, district, and local levels to manage IRS operations, including planning, spraying, resource allocation, and monitoring and evaluation (M&E).
- Conduct training with a focus on IRS supervision and spray techniques to improve the overall quality of spraying.
- Conduct regular M&E of project activities to ensure alignment with set targets and objectives.
- Mainstream gender equality and female empowerment by ensuring women’s participation in different project activities.
- Involve youth (over 18 years of age) in spray activities in the target districts. The project will recruit youth as mobilizers, and encourage them to sensitize the community about IRS. The project will also recruit youth as spray team members, and encourage them to sensitize the community in their villages in partnership with the village leaders during spraying.
- Carry out a logistics assessment in all districts, and arrange all procurement, shipping, delivery, and storage of IRS commodities.
- Strengthen the IRS logistics and warehousing system through enhanced training and supervision.
- Coordinate community mobilization activities in collaboration with stakeholders to raise awareness of IRS and to encourage beneficiary and stakeholder’s ownership.
- Monitor insecticide resistance, IRS insecticide residual efficacy, and vector bionomics.
- Ensure safe and correct insecticide application, thus minimizing human and environmental exposure to IRS insecticides, in compliance with the Pesticide Evaluation Report and Safer Use Action Plan and Supplemental Environmental Assessment (SEA).
- Conduct environmental compliance assessments in consultation with PMI and the National Malaria Control Program (NMCP).
- Conduct ITN durability monitoring to assess the chemical and physical durability of regular pyrethroid, piperonyl butoxide (PBO) (PermaNet 3.0) and net with dual insecticides (Interceptor G2).
- VectorLink, through PATH, will work with PMI and NMCP to build on the 2018 IRS evaluation by evaluating the impact of the 2020 IRS campaign in Burkina Faso.
Success stories from PMI VectorLink Burkina Faso: